Individual
ANGELA MARIE MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2649 S HOMER LAKE RD, HOMER, IL 61849-9756
(217) 840-3812
Mailing address
2649 S HOMER LAKE RD, HOMER, IL 61849-9756
(217) 840-3812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002743
IL
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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